Abstract
Given the low volume, high-risk situation which necessitates Epinephrine treatment in anaphylaxis, gaps in knowledge and practice were observed, resulting in error. A hypothesis was developed that nurses educated prior to 2000 would have a gap in administration knowledge, leading to error potential. This project was designed to identify those gaps and develop education to address them, leading to best practice and enhanced patient safety during a low volume, high risk emergency. Epinephrine is a high-risk drug,in that concentration differs according to diagnosis and has previously been expressed in ratio format, leading to confusion and error. Since the early 2000's, when the route changed to intramuscular(IM), there has been little specific education about the change targeted just to nurses. IM Epinephrine administration in the lateral thigh increases plasma concentration levels exponentially over IM deltoid or subcutaneous administration and should be implemented.
Sigma Membership
Eta Beta
Lead Author Affiliation
Lankenau Medical Center, Wynnewood, Pennsylvania, USA
Type
Poster
Format Type
Text-based Document
Study Design/Type
Quality Improvement
Research Approach
Translational Research/Evidence-based Practice
Keywords:
Anaphylaxis Treatment, Epinepherine Administration, Patient Safety
Recommended Citation
Foresman-Capuzzi, Joyce; Buckley, Megan; Eckenrode, Lisa; and Capuzzi, John, "Epinephrine in anaphylaxis: Assessing knowledge gaps in administration and strategies to mitigate error" (2020). General Submissions: Presenations (Oral and Poster). 84.
https://www.sigmarepository.org/gen_sub_presentations/2020/posters/84
Conference Name
Emergency Nursing 2020
Conference Host
Emergency Nurses Association
Conference Location
Virtual Event
Conference Year
2020
Rights Holder
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Epinephrine in anaphylaxis: Assessing knowledge gaps in administration and strategies to mitigate error
Virtual Event
Given the low volume, high-risk situation which necessitates Epinephrine treatment in anaphylaxis, gaps in knowledge and practice were observed, resulting in error. A hypothesis was developed that nurses educated prior to 2000 would have a gap in administration knowledge, leading to error potential. This project was designed to identify those gaps and develop education to address them, leading to best practice and enhanced patient safety during a low volume, high risk emergency. Epinephrine is a high-risk drug,in that concentration differs according to diagnosis and has previously been expressed in ratio format, leading to confusion and error. Since the early 2000's, when the route changed to intramuscular(IM), there has been little specific education about the change targeted just to nurses. IM Epinephrine administration in the lateral thigh increases plasma concentration levels exponentially over IM deltoid or subcutaneous administration and should be implemented.